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Date: Thu, 6 Apr 1995 14:56:26 -0400 (EDT) 
Subject: Naval Service Medical News (NSMN) 95-14 

R 050246Z APR 95 ZYB 




653-1315/TEL:DSN 294-1315// 


(950114) -Fleet Hospital 15 Personnel Part of Kernel Blitz 
(950115) -Navy Corpsman Renders Assistance in Malaysia 
(950116) -A Team Effort at Naval Hospital Guantanamo Bay 
(950117) -Peleliu Dentist Praises Navy Experiences 
(950118) -Navy Medical Department People Involved in Operations 
(950119) -HEALTHWATCH: HIV — What You Don't Know Could Kill You 

HEADLINE: Fleet Hospital 15 Personnel Part of Kernel Blitz 

NAVHOSP Pensacola, FL (NSMN) — Seventy-eight personnel from 
Naval Hospital Pensacola, and its Branch Medical Clinics at Naval 
Air Station Pensacola, Naval Technical Training Center Corry 
Station and NAS Whiting Field, FL, departed 2 April for Camp 
Pendleton, CA, in support of the largest medical training 
exercise ever conducted — Kernel Blitz '95. 

The Pensacola group made up the largest numbers of Navy 
Medical personnel headed to the West Coast to set up a field 
hospital on the Marine Corps base. They were joined by more than 
200 other personnel from 13 commands and clinics to form Fleet 
Hospital 15. 

Fleet Hospital 15 is made up of personnel from Naval 
Hospitals Jacksonville, FL; Charleston and Beaufort, SC; 
Millington, TN; Corpus Christi, TX; and Newport, RI; and Naval 
Medical Center Portsmouth, VA. Other FH15 personnel came from 
Naval Medical Clinic Key West, FL; Branch Medical Clinic Kings 
Bay, GA; Naval Medical Clinic New Orleans; and Branch Dental 
Clinics at Whiting Field, Milton and Jacksonville, FL. 

Kernel Blitz '95 is a partially simulated naval amphibious 
assault which has been ongoing since 27 May off the coast of San 
Diego. It is under the operational guidance of Commander, U.S. 
Third Fleet . 

Fleet Hospital 15, the only non-West Coast unit involved in 
Kernel Blitz, is under the command of a Naval Hospital Pensacola 
family practice physician, CAPT James H. Walker, MC. Earlier 
this week, FH15 set up a 50-bed field hospital in anticipation of 
200 "casualties" from the Kernel Blitz amphibious assault 

The field hospital is comprised of four operating rooms and 
three wards. The wards were to be operational for 12 continuous 
hours — twice as long as normal during fleet hospital training 
evolutions . Fleet Hospital 15 also tested some of Navy 
medicine's high technology, such as teleradiology, which allows 
the unit to send X-rays via satellite to a military hospital 
where radiologists there are able to assist those at the field 
hospital in making the most accurate diagnoses for patient 
treatment . 

Fleet Hospital 15 will complete training, and be returning 
home, 8 April . 
Story by Rod Duren 


HEADLINE: Navy Corpsman Renders Assistance in Malaysia 

USS Jarrett (NSMN) — Four sailors from USS Jarrett (FFG 33) 
— HN Christopher O' Sullivan, SN Matthew Rogers, SN Bradley 
Taylor and GMMl Michael Grogan — rendered assistance to two 
people involved in an automobile accident on 21 March near Lumat, 
Malaysia. The victims were believed to be Malaysian nationals . 

Jarrett sailors on liberty were traveling in a taxi when 
they came upon the scene of a head-on automobile collision. 
O' Sullivan observed one of the victims sitting on the ground and 
the other walking aimlessly around the vehicles. It appeared the 
victims were in need of medical attention. The Jarrett Sailors 
had the driver stop the taxi . They debarked and began rendering 

Police officers were already at the scene. Grogan assisted 
them with rerouting traffic around the scene of the accident; 
Taylor and Rogers assisted with crowd control. 

While awaiting a local medical response team, the police 
provided O' Sullivan with surgical gloves and allowed him to 
inspect the victims . The corpsman performed a head-to-toe 
assessment on both victims and determined that no head or neck 
injuries had been sustained. The ambulatory victim had sustained 
a small cut and a large bruise on his forehead. The second 
victim, who was sitting beside his vehicle, had sustained several 
lacerations on his right forearm and large bruises on his chest, 
possibly a fractured sternum and some bruised or fractured ribs. 

O' Sullivan used a towel found on the front seat of the 
victim's car as a bandage to help stop the bleeding, which 
stabilized the victim. Shortly thereafter, the ambulance arrived 
and paramedics attended to the accident victims, who were loaded 
into the ambulance and taken away. When the ambulance departed 
the police began to secure the scene and Jarrett ' s good 
Samaritans continued on with their day of liberty in Malaysia. 
Story by JOCS(SW) Bob Herskovitz, COMNAVSURFPAC 


HEADLINE: A Team Effort at Naval Hospital Guantanamo Bay 

USNH Guantanamo Bay, Cuba (NSMN) — While U.S. Naval 
Hospital Guantanamo Bay is technically not a part of Command 
Joint Task Force 160 (CJTF 160), it supports the CJTF 160 mission 
by providing outpatient and inpatient health care services to 
Cuban and Haitian migrants . 

An example of this joint effort occurred on 27 February 
1995. At approximately 1700, a Cuban migrant was transported in 
serious condition to the naval hospital from the Sixth Air 
Transportable Hospital (6th ATH) . A presumptive diagnosis of 
bacterial meningitis had been made by Air Force medical staff 
based on signs /symptoms and preliminary laboratory results. Upon 
arrival, naval hospital medical staff quickly reassessed the 
patient ' s status and instituted procedures to stabilize and treat 
the patient . 

The admitting diagnosis remained bacterial meningitis . As 
additional diagnostic tests were being collected, emergency room 
staff notified the command' s environmental health officer (EHO) , 
in accordance with established Disease Alert Reporting 
Procedures . This rapid notification process was developed and 
established shortly after the initial arrival of Haitian migrants 
in June 1994, as an outbreak of any infectious disease in the 
camps could have a potentially rapid and detrimental impact on 
other exposed migrants, camp personnel and health care providers. 

Upon notification, the EHO reported to the emergency room 
and assisted the ER staff in collecting as much information 
regarding the patient and illness as possible. With this 
material, a tentative plan of action was formulated to identify 
contacts — migrants , JTF and hospital personnel — and their 
vaccination status, and identification through testing the 
causative organism. Due to the seriousness of the patient's 
condition, the decision to medically evacuate the patient was 
made and procedures to schedule a medevac flight were initiated. 

Throughout the night, the patient remained stable, but was 
still unresponsive. 

At 0700 on 28 February 1995, the patient was transported to 
the Leeward air terminal. A C-9 aircraft was standing by to 
transport the patient and a medical team to a hospital in Miami . 
At approximately this same time, results from CSF cultures 
definitively indicated that the patient had Pneumococcal 
meningitis . Members of the JTF 160 Public Health Team were 
notified so that migrants and other personnel who may be 
predisposed to Pneumococcal bacteria could be identified and 
monitored. Based on this information, further preventive 
actions, such as vaccination and prophylactic treatment of the 
general population, were not considered necessary. 

The entire evolution from notification to final action was 
approximately 14 hours and is a prime example of the "joint" 
elements of U.S. Naval Hospital Guantanamo Bay, the Air Force's 
6th ATH, and JTF medical staff working in concert . 
Story by LT M.J. Walsh, MSC, and ENS C.H. Henry, MSC 


HEADLINE: Peleliu Dentist Praises Navy Experiences 

USS Peleliu (NSMN) — "The Navy is an excellent way for a 
dental school graduate to gain experience and additional 
professional and technical exposure without having to worry about 
the business aspect of paying the bills of a private practice, " 
said LT Michael Mingle, DC, the dental officer aboard USS Peleliu 
(LHA 5) . 

He should know. After 18 months as a practicing dentist, 
he's had the chance to do things that might take years of 
experience in the civilian sector. 

This is just the sort of "hands-on" experience the Navy 
offers, and what Navy recruiters would like young dental students 
in training at universities across the nation to know. 

Last fall, deans of major medical and dental schools in the 
Midwest — escorted by a group of Navy recruiters — came to San 
Diego to tour naval facilities. 

While here, they visited USS Peleliu to see the ship's 
medical and dental capabilities . And while aboard Peleliu, a 
University of Iowa recruiter recognized Mingle as one of her 
success stories. The recruiter asked if he'd talk to other 
students . 

The recruiting officer ended up with two Mingles coming East 
— Mingle 's wife, Jennifer, is also a Navy dentist here in San 
Diego. She is one of three dental officers aboard USS Dixon (AS 
47) . The two met and married at the University of Iowa, which 
they both attended under Navy scholarships. 

"We were flown out to Iowa to spend the day at the 
university. We spent most of the day talking with interested 
individuals . Then that evening, we put on a small presentation 
to explain the different scholarships available through the 
Navy, " Mingle said. "I remember a few years ago when I was a 
junior in dental school, I visited (National Naval Medical 
Center) Bethesda (in Maryland) . It was a chance to see for 
myself a little about what the Navy was really like. I hoped I 
could bring some of that insight to the students in school now. " 

One of the biggest advantages of accepting a Navy 
scholarship is the experience. Mingle says. 

"The more you see, the more you learn, and the Navy has 
allowed me to see things I would normally not get much exposure 
to, such as oral surgery. It's making me a better dentist. " 
Story by LT Dave Blackwood, reprinted from The Compass, 13 JAN 95 


HEADLINE: Navy Medical Department People Involved in Operations 
BUMED Washington (NSMN) — The Navy Medical Department 

continues to support the Navy and Marine Corps team through 

deployments with the fleet and carrying out humanitarian 

operations . Here is the latest update on where our medical 

people are on assignment . 

Medical forces currently on operational assignment are: 
Operation Able Vigil 

Medical/Dental augmentation personnel: 12 

The Navy Medical Department is in full support of Operation 

Able Vigil. Five Medical Corps, one Medical Service Corps, five 

Nurse Corps officers and 40 hospital corpsmen are deployed to 
U.S. Naval Hospital Guantanamo Bay, providing medical treatment 
for approximately 23, 000 Haitian and Cuban migrants, in addition 
to providing medical support to many afloat platforms. 
Additionally, 21 personnel are assigned to CJTF 160, to include 
six Medical Corps, four Nurse Corps and 11 corpsmen. They are 
currently working with Air Force and Army medical personnel, 
providing psychiatric services to the migrant population . 

Operation Full Accounting 
Navy Medical Corps officers and independent duty corpsmen are 
supporting this operation by volunteering to serve tours ranging 
from just under two weeks to two months. Eight missions remain 
for FY 95. An IDC from Commander, Submarine Pacific, is in 
country supporting current missions . The next scheduled missions 
will be coming out of Pensacola, FL; Camp Lejeune, NC; and 
Grot on, CT. 

Exercise Support 
Individuals and components of mobile medical augmentation 
readiness teams (MMARTs) support various exercises/operations as 
required, bolstering the "organic" medical assets of the units 

Surgical Team One from Naval Medical Center San Diego and 
Surgical Team Six from Naval Hospital Charleston, SC, are on 
routine 48-Hour Alert for any emergency situations . 

Surgical Team Three from Naval Hospital Camp Pendleton, CA, 
is providing medical support on board USS Belleau Wood (LHA 3) . 

Surgical Team Five from Naval Medical Center Oakland, CA, is 
providing medical support for Exercise Kernel Blitz on board USS 
New Orleans (LPH 11) . 

Fleet Surgical Teams are also deployed to provide additional 
medical support where needed, as directed by the CINCs. 

Miscellaneous OCONUS and Fleet Support 
Providing TAD (temporary additional duty) support to nine fleet 
platforms and seven OCONUS facilities are 18 Navy Medical 
Department personnel: Six Medical Corps, two Medical Service 
Corps, one Dental Corps and nine hospital corpsmen. 


HEADLINE: HEALTHWATCH: HIV — What You Don't Know Could Kill You 

BUMED Washington (NSMN) — The Human Immunodeficiency Virus 
(HIV), which leads to the development of the Acquired 
Immunodeficiency Syndrome (AIDS), continues to be a threat to 
every man, woman and child. But, like other sexually transmitted 
diseases, it is easily preventable . Who you are has nothing to 
do with whether you are in danger of being infected. What 
matters most is what you do, how you behave. 

HIV infection is the leading cause of death among people 25- 
44 years old. The World Health Organization estimates that each 
day 5, 000 people become infected with HIV worldwide and predicts 
that 40 million people could be infected by the year 2000. 
Since the Navy began testing in 1985, more than 4, 000 
Sailors and Marines have tested positive for HIV. As of 15 March 
1995, 571 Navy and 82 Marine Corps HIV-positive personnel were 
serving on active duty. If you are assigned to a deployable 

unit, stationed overseas or are a health care provider, you are 
tested yearly for HIV infection. If your unit is going overseas, 
you must have had a test within the last 12 months. All Navy and 
Marine Corps personnel are tested at the time of their regular 
military physical (every five years under age 50; two years for 
those over 50) . 

It is important that every Sailor and Marine know the facts 
regarding the transmission and prevention of HIV. 

SUBHEAD: HIV is the Virus that Causes AIDS 

HIV is passed from person to person through blood-to-blood 
and sexual contact . AIDS is the inevitable result of HIV 
infection. When a person has AIDS, the immune system becomes 
damaged so that they can no longer fight off other infections. 
These infections are usually fatal . 

SUBHEAD: You Cannot "Catch" HIV Like You Do a Cold or Flu 

Unlike other viruses, HIV does not spread by traveling 
through the air. Even though HIV is sometimes found in small 
amounts in saliva, the virus is not spread by saliva. HIV is 
very fragile and dies quickly outside the body. Also, our skin 
(without cuts or sores) helps prevent germs — including HIV — 
from infecting us. For these and other reasons, HIV cannot be 
spread by: shaking hands, hugging, coughing, sneezing, kissing; 
nor from swimming pools, toilet seats, straws, spoons, dishes, 
food, insects (including mosquitoes) or animals. 

SUBHEAD: You Can Protect Yourself From Infection by HIV 

When it comes to sexual behavior, abstinence is the only 
foolproof way to avoid exposure to the virus. Postponing sex 
until marriage or a long-term relationship with one partner are 
also safer alternatives . If you are sexually active, reduce the 
number of partners and have sex only with a partner who is not 
infected, who has sex only with you, and who does not use needles 
or syringes . If you are unsure about whether or not your sexual 
partner is uninfected, protect yourself with a latex condom and a 
spermicide such as nonoxynol-9. Never use needles or syringes 
for any drug, including steroids, unless under a doctor's care. 

SUBHEAD: Latex Condoms Can Help Protect You From HIV 

Latex condoms can help protect you and your partner from 
HIV. Birth control pills and diaphragms cannot . But you must 
use the condoms the right way. And you must use them every time 
you have sex (vaginal, anal or oral) from start to finish. 
Condoms are not foolproof, because they can break, tear or slip 
off. Experts recommend using only latex condoms for disease 
protection . 

SUBHEAD: Giving Blood is Not Risky Behavior 

You cannot become infected by HIV or any other disease agent 
by giving in the United States, because every piece of equipment 
(needles, tubing, containers) used to draw your blood is sterile; 
no piece of equipment has ever been used before; and all needles 
are discarded properly after your blood is drawn. You cannot get 

HIV by giving blood. 

SUBHEAD: Can I Be Infected When I Receive Blood? 

The risk of being infected with HIV from a blood transfusion 
is very low. Since donor interviews for HIV risk began in 1983, 
and HIV antibody testing began in 1985, the risk of 
HIV-contaminated blood entering the blood supply has dropped 
dramatically . Estimates of the chance of receiving an 
HIV-infected transfusion vary from one in 250, 000 to one in 
40, 000 units of blood. A Red Cross study reported in 1989 that 
the risk was one in 153,000. The main reason for this risk is 
that some recently infected people may give blood, not knowing 
that they are infected. Currently used blood tests look for 
antibodies to HIV. These tests may not be able to detect 
antibodies in the blood of some recently infected people, even 
though the blood contains HIV. However, HIV-infected people and 
those at risk for HIV infection rarely donate, and HIV-infected 
donations rarely slip through because of thorough donor 
interviewing and blood testing. 

If you know you will need blood — scheduled surgery, for 
example — you can give blood for your own use. This is known as 
autologous donation. 

SUBHEAD: What Happens to My Career If I'm Infected? 

The time from when a person is infected with the HIV to the 
appearance of clinical symptoms indicating that disease is 
developing may be 10 years or longer. During this symptom- free 
period, the HIV-infected person is fully functional and capable 
of performing his or her assigned duties. 

Navy policy states that personnel who are HIV-antibody 
positive and found medically fit for duty shall be assigned 
within the United States to a unit not normally programmed for 
deployment and within 300 miles of a naval medical treatment 
facility designated by the Navy Surgeon General. These 
facilities are Naval Medical Centers Bethesda, MD, Oakland, CA, 
Portsmouth, VA, and San Diego; Naval Hospitals Beaufort, SC, 
Bremerton, WA, Camp Lejeune, NC, Camp Pendleton, CA, Charleston, 
SC, Corpus Christ i, TX, Great Lakes, IL, Groton, CT, 
Jacksonville, FL, Long Beach, CA, Millington, TN, Newport, RI, 
Orlando, FL, and Pensacola, FL; and Naval Medical Clinic 
Philadelphia . 

Every effort is taken to maintain confidentiality of a 
member's HIV status and to ensure continued career options. 
Detailers have knowledge of the options available to service 
members. Since HIV-infected personnel cannot be assigned to sea 
duty or deployable units, junior enlisted members in 
sea-intensive ratings (i.e., OS, BT, QM, etc.) may have to change 
their rating to have a viable career. HIV-infected pilots, NFOs, 
ACs and aircrew members are permanently grounded and reassigned 
to shore duty. Outstanding performance is key for advancement of 
all personnel, since personnel records cannot contain a member's 
HIV status. HIV infection cannot be the sole reason to deny 
reenlistment . 

HIV— infected personnel are medically retired from the 

service when they become too sick to perform their job, usually 
when the individual reaches stage three or four of infection, 
which is characterized by a T-cell count of 300 or less and loss 
of skin test sensitivity (delayed hypersensitivity) . 

SUBHEAD: Be Smart, Not Scared 

HIV is not transmitted by other means, such as touching or 
casual contact, even on a repeated basis; it is not transmitted 
by eating food prepared by an HIV-positive person; it is not 
transmitted by insect bites. 

HIV is transmitted by sexual contact (vaginal, anal or oral 
intercourse); by parenteral contact (needle stick inoculation of 
blood and fluid, transfusion of blood or blood products, 
inoculation of blood or blood products into mucous membranes or 
skin, needle sharing by injecting drug users) ; and by mother to 
infant contact (during pregnancy, at the time of delivery, during 
breastfeeding) . 

Know the facts and think before you act. You only have one 
life, so choose behaviors that will protect you and those you 

The Navy HIV Program located in Bethesda, MD, exists to 
serve you — the men and women of the Navy and Marine Corps. If 
you need information, or would like to become a Navy HIV 
prevention instructor, call the staff at DSN 295-0048 or 
commercial (301) 295-0048. 

EDITORS NOTE: The Spring 1995 Captain's Call Kit contains a 
short version of this article. 


3. Two-month calendar of events, observances and anniversaries: 

National Alcohol Awareness Month (212/206-6770) 

Cancer Control Month (404/329-5739) 

Child Abuse Prevention Month (312/663-3520) 

Month of the Military Child 

Stress Awareness Month 

National Occupational Therapy Month (301/652-2682) 

National Sexually Transmitted Disease (STD) Awareness Month 

Sports Eye Safety Month (1-800-331-2020) 

National Youth Sports Injury Prevention Month (617/449-2499) 

National Humor Month (408/624-3058) 

Mathematics Education Month 

Keep America Beautiful Month 

3 April - 1 May: Annual Savings Bonds Campaign 

7 April: World Health Day 

7-9 April: Alcohol-Free Weekend (212/206-6770) 

9 April : Palm Sunday 

9-15 April: National Building Safety Week (703/437-0100) 

9-15 April: National Library Week "Libraries Change Lives" 
(312/280-5044/1 or 1-800-545-2433, ext . 5044 or 5041) 

11 April: Morning (0600-0800) and Night (until 2200) 
Detailing (times are for Washington DC) 

14 April: Good Friday 

14-22 April: Passover (begins sundown/ends sundown) 

1 6 April : Easter 

16-22 April: National Organ/Tissue Donor Awareness Week 
(804/330-8500; in IL, 312/431-3600) 

16-22 April: National Medical Laboratory Week (312/738- 

17 April: 0-5 Staff Corps selection board convenes 

17 April: Deadline for filing Income Tax returns 

18 April: National Youth Service Day 

21 April 1945: Allies entered Berlin 

22 April : Earth Day (25th Anniversary) 

22-28 April: National Infant Immunization Week (404/639- 

23-29 April: National Volunteer Week (202/223-9186, xl46) 

24 April: Medical Enlisted Commissioning Program board 

24-28 April: Electroneurodiagnostic (END) Technologists 
Week (712/792-2978) 

25 April: Morning (0600-0800) and Night (until 2200) 
Detailing (times are for Washington DC) 

25 April 1945: United Nations organized 

26 April : Professional Secretaries Day 

27 April: Take Our Daughters To Work Day "A girl is 
watching. What is she learning?" 

27 April: Yom Hoshoah/Holocaust Remembrance Day 

28 April : Arbor Day 

29-30 April: March of Dimes WalkAmerica (914/997-4622) 
30 April 1970: Vietnam War ends with fall of Saigon 
30 April: E-9 Evals Due 


Asian-Pacific Heritage Month 

National Physical Fitness and Sports Month (202/272-3427) 

National Arthritis Month (404/872-7100, ext. 6343) 

National Asthma and Allergy Awareness Month (1-800-878-4403) 

National Clean Air Month (American Lung Association 


Better Hearing and Speech Month (301/897-5700) 

National Sight-Saving Month (1-800-331-2020) 

Better Sleep Month (703/683-8371) 

Correct Posture Month (American Chiropractic Association, 1- 


National Digestive Diseases Awareness Month (202/544-7497) 
National High Blood Pressure Month (301/251-1222) 
Huntington's Disease Awareness Month (1-800-345-HDSA or 


National Melanoma/Skin Cancer Detection and Prevention Month 

(Department of Communications , American Academy of Dermatology, 

930 N. Meacham Rd., Schaumburg, IL 60173) 

National Mental Health Month (703/684-7722) 

National Neurofibromatosis Awareness Month (1-800-323-7938) 

National Stroke Awareness Month (American Heart Association: 

1-800-553-6321; National Stroke Association: 1-800-STROKES) 
Older Americans Month (202/401-4541) 

National Trauma Awareness Month (1-800-556-7890) 

National Bike Month — "A Fun Way to Stay Healthy" 

1 May, 0001: NDW shifts to summer uniform 

1 May: Law Day USA 

1-7 May: Public Service Recognition Week 

4 May: National Day of Prayer 

4 May - 6 June: 1995 Navy-Marine Corps Relief Society Fund 
Drive — "Assisting Sailors, Marines and Their Families for 91 
Years " 

5 May 1847: American Medical Association began 

6 May: Nurses Day 

6-12 May: National Nurses Week (202-651-7021) 
7-13 May: National Running and Fitness Week (301/913-9317) 
7-13 May: National Hospital Week (916/552-7577) 
7-13 May: Be Kind to Animals Week 
8 May 1945: V-E Day 

8-14 May: National Stuttering Awareness Week (1-800-922- 

12 May: Military Spouse Day 

12 May 1820: Florence Nightingale born 

13 May 1908: Navy Nurse Corps Birthday 

14 May: Mother's Day 

14-20 May: Armed Forces Week — "Forces for Freedom" 
14-20 May: National Emergency Medical Services Week 


14-20 May: National Medical Transcriptionist Week (209/551- 


14-20 May: National Nursing Home Week (202/842-4444) 
14-20 May: National Osteoporosis Prevention Week (202/223- 


15 May: Reserve 0-5/0-6 Staff Selection Board Convenes 

17 May: National Employee Health and Fitness Day (312/237- 

20 May: Armed Forces Day — "Forces for Freedom" 

21-27 May: National Surgical Technologists Week (303/694- 

22-28 May: National Park Week 

25 May: National Missing Children's Day (914/255-1848) 

29 May: Memorial Day Observed 

30 May: Memorial Day 

30 May: Muharram (Islamic New Year) 

31 May: National Senior Health & Fitness Day (708/816-8660 
or 1-800-828-8225) 

31 May: World No Tobacco Day (World Health Organization, 

31 May: ENS Fit Reps Due 


DSN 294-0793. FAX (202) 653-0086, DSN 294-0086. E-MAIL